{% extends 'PortalMainBundle::layout.html.twig' %}

{% block stylesheets %}
  {{ parent() }}
<style>
    table th,td{
      
      text-align: left;
      
    }
</style>
{% endblock %}
{% block content %}
{% include 'PortalTutorBundle::TutorStep/stepHeader.html.twig' %}
<form action="{{path('step3submit')}}" method="POST">
<div class="span12">
  
  <div id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_UP1">

    <h1 class="SignupPageHeader">Basic Information
    </h1>
    <p>
      Please provide the following information so we can start composing your profile.
    </p>
    <div class="infoSection">
      <h2>Administrative Details</h2>
      <div>
        <table>
          <tbody><tr>
              <th>Gender:&nbsp;
                <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_SelectedIndexValidator5" class="DESVALErrorText" style="visibility:hidden"><img alt="" src="/images/icons/newXsmall.gif" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_SelectedIndexValidator5_Img"></span>
              </th>
              <td>
                <select required="required" id="sex" name="sex">
                  <option value="Please Select...">Сонгох...</option>
                  <option value="1">Эр</option>
                  <option value="2">Эм</option>
                </select>
              </td>
            </tr>
            <tr>
              <th>Date of Birth:&nbsp;
          </th>
          <td>
            <input required="required" type="text" id="birthday" size="10" name="birthday">
          </td>
          </tr>
       
          <tr>
            <th>Cancellation Notice:&nbsp;






              <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PopupCancelation_ImageButtonSpan">
                <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PopupCancelation_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PopupCancelation_PopupButton"><img src="/Graphics/Pages/TutorProfile/icons/question14.png" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PopupCancelation_imgPopup"></a>
              </span>
              <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PopupCancelation_LinkButtonSpan">
                <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PopupCancelation_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PopupCancelation_PopupLink"></a>
              </span>



      
          </th>
          <td>
            <select id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_CancellationDDL" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$CancellationDDL">
              <option value="0">None</option>
              <option value="1">1 hours</option>
              <option value="2">2 hours</option>
              <option value="3">3 hours</option>
              <option value="4">4 hours</option>
              <option value="5">5 hours</option>
              <option value="6">6 hours</option>
              <option value="8">8 hours</option>
              <option value="10">10 hours</option>
              <option value="12">12 hours</option>
              <option value="16">16 hours</option>
              <option value="20">20 hours</option>
              <option value="24">24 hours</option>
              <option value="36">36 hours</option>

            </select>
          </td>
          </tr>
          <tr>
            <th>Where did you hear about WyzAnt?
            </th>
            <td>
              <div id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_AdSourceList1_UpdatePanel1">

                <div id="Test">
                  <select id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_AdSourceList1_SourceDropDownList" onchange="javascript:setTimeout('__doPostBack(\'ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$AdSourceList1$SourceDropDownList\',\'\')', 0)" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$AdSourceList1$SourceDropDownList">
                    <option value="-1" selected="selected">How did you hear about us?</option>
                    <option value="0">Google</option>
                    <option value="6">Word of mouth</option>
                    <option value="7">One of our tutors</option>
                    <option value="8">One of our students</option>
                    <option value="9">In the news</option>
                    <option value="13">Yahoo</option>
                    <option value="100">Other</option>
                    <option value="101">Bing</option>

                  </select>
                  <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_AdSourceList1_RequiredFieldValidator2" class="DESVALErrorText" style="visibility:hidden"><img alt="" src="/images/icons/newXsmall.gif" title="*" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_AdSourceList1_RequiredFieldValidator2_Img"></span>
                </div>
                <div>

                </div>


              </div>

            </td>
          </tr>
          </tbody></table>
      </div>
    </div>
    <div class="infoSection">
      <h2>Education</h2>
      <div>
        <table>
          <tbody><tr>
              <th>Undergraduate College:
              </th>
              <td>

                <input type="text" data-wyzac-searchtype="College" class="wyzAC ui-autocomplete-input" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_UndergradDDL_WyzAutoCompleteInput" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$UndergradDDL$WyzAutoCompleteInput" autocomplete="off" role="textbox" aria-autocomplete="list" aria-haspopup="true">
              </td>
            </tr>
            <tr>
              <th>Major:&nbsp;
                <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_RegularExpressionValidator18" class="DESVALErrorText" style="visibility:hidden"><img alt="" src="/images/icons/newXsmall.gif" title="&amp;nbsp;" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_RegularExpressionValidator18_Img"></span>
              </th>
              <td>
                <input type="text" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_TextboxMajor" maxlength="20" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$TextboxMajor">
              </td>
            </tr>
            <tr>
              <th>Graduate College 1:
              </th>
              <td>

                <input type="text" data-wyzac-searchtype="College" class="wyzAC ui-autocomplete-input" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Grad1DDL_WyzAutoCompleteInput" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$Grad1DDL$WyzAutoCompleteInput" autocomplete="off" role="textbox" aria-autocomplete="list" aria-haspopup="true">
              </td>
            </tr>
            <tr>
              <th>Type of Degree:&nbsp;






                <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup2_ImageButtonSpan">
                  <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup2_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup2_PopupButton"><img src="/Graphics/Pages/TutorProfile/icons/question14.png" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup2_imgPopup"></a>
                </span>
                <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup2_LinkButtonSpan">
                  <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup2_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup2_PopupLink"></a>
                </span>



      
          <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Grad1Validator" class="DESVALErrorText" style="visibility:hidden"><img alt="" src="/images/icons/newXsmall.gif" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Grad1Validator_Img"></span>
          </th>
          <td>
            <select id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Grad1TypeDDL_DegreeTypeDropDownList" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$Grad1TypeDDL$DegreeTypeDropDownList">
              <option value=""></option>
              <option value="9">EdD</option>
              <option value="5">Enrolled</option>
              <option value="6">Graduate Coursework</option>
              <option value="3">J.D.</option>
              <option value="1">Master's</option>
              <option value="2">MBA</option>
              <option value="7">MD</option>
              <option value="10">MEd</option>
              <option value="8">PhD</option>
              <option value="4">Other</option>

            </select>
          </td>
          </tr>
          <tr>
            <th>Graduate College 2:
            </th>
            <td>

              <input type="text" data-wyzac-searchtype="College" class="wyzAC ui-autocomplete-input" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Grad2DDL_WyzAutoCompleteInput" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$Grad2DDL$WyzAutoCompleteInput" autocomplete="off" role="textbox" aria-autocomplete="list" aria-haspopup="true">
            </td>
          </tr>
          <tr>
            <th>Type of Degree:&nbsp;






              <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup5_ImageButtonSpan">
                <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup5_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup5_PopupButton"><img src="/Graphics/Pages/TutorProfile/icons/question14.png" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup5_imgPopup"></a>
              </span>
              <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup5_LinkButtonSpan">
                <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup5_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup5_PopupLink"></a>
              </span>



          </th>
          <td>
            <select id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Grad2TypeDDL_DegreeTypeDropDownList" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$Grad2TypeDDL$DegreeTypeDropDownList">
              <option value=""></option>
              <option value="9">EdD</option>
              <option value="5">Enrolled</option>
              <option value="6">Graduate Coursework</option>
              <option value="3">J.D.</option>
              <option value="1">Master's</option>
              <option value="2">MBA</option>
              <option value="7">MD</option>
              <option value="10">MEd</option>
              <option value="8">PhD</option>
              <option value="4">Other</option>

            </select>
          </td>
          </tr>

          <tr>
            <th>Teaching Certification:&nbsp;






              <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup7_ImageButtonSpan">
                <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup7_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup7_PopupButton"><img src="/Graphics/Pages/TutorProfile/icons/question14.png" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup7_imgPopup"></a>
              </span>
              <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup7_LinkButtonSpan">
                <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup7_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup7_PopupLink"></a>
              </span>



       
          </th>
          <td>
            <select id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_TeachingCertificationStatusDDL_TeachingCertificationDropDownList" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$TeachingCertificationStatusDDL$TeachingCertificationDropDownList">
              <option value="0">Not Certified</option>
              <option value="1">Planned</option>
              <option value="2">Certified</option>
              <option value="3">Certification Expired</option>

            </select>

          </td>
          </tr>
          </tbody></table>
      </div>
    </div>
    <div class="infoSection">
      <h2>Hourly Rate
      </h2>
      <div>
        <p>
          Please choose an hourly rate to charge students. WyzAnt's commission is between 20% and 40% of this amount. Most tutors charge between $35 - $65 per hour.






          <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup8_ImageButtonSpan">
            <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup8_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup8_PopupButton"><img src="/Graphics/Pages/TutorProfile/icons/question14.png" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup8_imgPopup"></a>
          </span>
          <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup8_LinkButtonSpan">
            <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup8_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_Popup8_PopupLink"></a>
          </span>



        </p>
        <table>
          <tbody><tr>
              <th>Hourly Rate:&nbsp;
                <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_HourlyRateCustomValidator" class="DESVALErrorText" style="visibility:hidden"><img alt="" src="/images/icons/newXsmall.gif" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_HourlyRateCustomValidator_Img"></span>
              </th>
              <td>
                <input type="text" class="ZipTextBox" required="required" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_HourlyRateTB" maxlength="3" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$HourlyRateTB">
              </td>
            </tr>
          </tbody></table>
      </div>
    </div>
    <div class="infoSection">
      <h2>Your Address</h2>
      <div>
        <table id="tblHomeAddress">
          <tbody><tr>
              <th>Address:
         </th>
          <td>
            <textarea required="required" name="address" id="address"></textarea>
            
          </td>
          </tr>
  
          <tr>
            <th>Phone Number:&nbsp;
              <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PhoneICV" class="DESVALErrorText" style="visibility:hidden"><img alt="" src="/images/icons/newXsmall.gif" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PhoneICV_Img"></span>
            </th>
            <td>
              <span style="vertical-align:text-bottom;white-space:nowrap;" class="DESVALMultiSegContainer" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PhoneNumberTB_MultiSegmentDataEntryPhone"> ( <input type="text" style="width:30px;" class="DESVALMultiSegTextBox" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PhoneNumberTB_MultiSegmentDataEntryPhone_1" maxlength="3" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$PhoneNumberTB$MultiSegmentDataEntryPhone_1"> ) <input type="text" style="width:30px;" class="DESVALMultiSegTextBox" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PhoneNumberTB_MultiSegmentDataEntryPhone_2" maxlength="3" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$PhoneNumberTB$MultiSegmentDataEntryPhone_2"> - <input type="text" style="width:40px;" class="DESVALMultiSegTextBox" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_PhoneNumberTB_MultiSegmentDataEntryPhone_3" maxlength="4" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$PhoneNumberTB$MultiSegmentDataEntryPhone_3"></span>
            </td>
          </tr>
          </tbody></table>
        <input type="hidden" id="hidHomeGeoResults" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$hidHomeGeoResults">
      </div>
    </div>
  
    <div class="infoSection" clientidmode="Static" id="PnlWyzAid">
      <h2>Volunteer Opportunities</h2>
      <p>Are you interested in being notified about volunteer tutoring opportunities at local nonprofit organizations?







        <span id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_WyzAidLearnMore_LinkButtonSpan">
          <a class="popupInitiator fancyboxRegistered" href="#ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_WyzAidLearnMore_genericFancyBoxShowDiv" id="ctl00_ctl00_ctl00_PageCPH_CenterColumnCPH_CenterColumnCPH_WyzAidLearnMore_PopupLink">Learn more</a>
        </span>



      </p>
    
      <input type="checkbox" name="ctl00$ctl00$ctl00$PageCPH$CenterColumnCPH$CenterColumnCPH$ChkWyzAid" id="ChkWyzAid"><label for="ChkWyzAid">Yes</label>
    </div>

  </div>	
  
  
  
</div>

<br />
<br />
<div class="controllerContainerDiv">
  <div>
    <a class="btn btn-info" href="javascript:;" onclick="skip()" rel="nofollow">Түр алгасах</a>
    <a class="btn btn-success" href="javascript:;" onclick="nextStep()" rel="nofollow">Хадгалах</a>
  </div>
</div>

</form>


{% endblock %}